Kurt R. Finberg M.D.

Birth Control Services

Choosing a particular method of birth control is a very personal decision, and with so many different contraception options available to women today, it can feel like an overwhelming task. Dr. Finberg will take time to discuss which birth control options are the best fit for your lifestyle, personal goals, and physical health.

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The birth control options may include:

• Birth control pills

• NuvaRing®

• Depo-Provera

• Long acting reversible contraception, including Mirena® and ParaGard® IUDs, and Nexplanon®

• Permanent sterilization, including Laparoscopic tubal ligation, and Essure® procedures

• Diaphragm fittings

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Managing Menopause

A woman’s health care needs change throughout her life, and aging well is an important part of health and happiness.  Gynecological services specific to menopause and healthy aging, including:

• Hormone replacement therapy

• Strategies and options for coping with menopausal symptoms

• Evaluation & Management of post-menopausal vaginal/uterine bleeding

• Evaluation of and treatment for urinary incontinence

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Specialized Gynecology Services

Some women suffer from gynecological conditions that require specialized services. Dr. Finberg can diagnose and treat most gynecological disorders in the privacy and comfort of our offices, including:

• Diagnosis and management of pelvic pain, including endometriosis

• Management of menstrual disorders, including irregular and heavy menstrual bleeding and painful periods

• Infertility evaluation and initial treatment

• In-office ultrasound

• Minimally invasive biopsies, colposcopy and LEEP procedures

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Gynecology Surgical Procedures

• Hysterectomy: A hysterectomy refers to removal of the uterus (or womb).  This can be done with or without removal of the adnexa (tubes and ovaries).  There are a variety of reasons why you might be considering undergoing a hysterectomy. Just a few include problems with abnormal bleeding, fibroids (benign growth on the uterus), endometriosis, uterine or pelvic organ prolapse, or precancerous or cancerous cells. For many of these conditions, Dr. Finberg will likely recommend less invasive treatments first, and if these do not succeed, may suggest that you consider a hysterectomy. Traditionally, this type of surgery is either performed through a side to side (bikini) or vertical incision on your abdomen or through the vagina. However, there are many more choices today and Dr. Finberg will individualize his recommendations based on your specific circumstances. In addition to the aforementioned options, Dr. Finberg may recommend using laparoscopy to assist with a vaginal hysterectomy, a fully-laparoscopic hysterectomy, or a robotic hysterectomy. It is important to know that all of these choices have pros and cons and that when Dr. Finberg makes recommendations, they are based on your specific needs.

• Hysteroscopy:  A hysteroscopy is a procedure in which a tiny camera is inserted through the vagina and cervix without any incisions on the abdomen and used to see inside the uterus. It is also referred to as minimally invasive surgery. It can be performed in the surgery center or hospital using local anesthesia, spinal anesthesia (numb from the waist down) or general anesthesia (going to sleep) depending on your specific situation. There are many reasons Dr. Finberg may recommend this type of procedure. For example, if you have had certain types of abnormal uterine bleeding. This procedure can treat your condition or further evaluate. This surgery can also be performed at the same time as a D&C (scraping of the uterus), removal of polyps or fibroids, ablation (burning the uterine lining to treat heavy periods), or for evaluation of infertility. It is usually an outpatient procedure.

• Laparoscopy: Laparoscopic surgery refers to surgery done through one or more small incisions, usually about one-half to one inch long.  This is also called minimally invasive surgery. Many problems which are traditionally treated with surgery through side to side (bikini) incisions or up and down (vertical) incisions can now be done in a way that offers less pain, a faster recovery and a more cosmetic scar. When Dr. Finberg performs this type of surgery, it is performed at a surgery center or hospital or surgery. Dr. Finberg will make one or more small incisions in your abdomen, fill your belly up with carbon dioxide gas and insert small instruments inside to perform the procedure, all while watching closely with a camera. This type of surgery can be used to treat pelvic pain, infertility, endometriosis, ovarian cysts, scar tissue, fibroids, or even to perform a hysterectomy. Depending on exactly what is done, you will most likely be able to go home the same day or the next and will be back on your feet much faster than with traditional surgery. Dr. Finberg will discuss with you if this is a good option for your specific circumstances.

• Minimally Invasive Surgery (MIS): If you are concerned that you may need surgery for either an ongoing medical problem or a new one, you may be wondering what kind of options are available. It is important to know that many surgical procedures that were once only possible though large side-to-side (bikini) or vertical incisions are now frequently done through small incisions or no incision at all. Common procedures like treatment for fibroids, endometriosis, ovarian cysts, dropping (prolapsing) organs and bladder leakage are routinely done through laparoscopic, vaginal, hysteroscopic or robotic techniques. All of these options comprise minimally invasive surgery. Dr. Finberg will explain the details about what is involved with your specific surgery.

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For accurate information on specific topics link to:  www.acog.org